A nurse has completed the assessment for a patient who has a maladaptive response to eating regulation
Findings include: height, 5 feet 3 inches; current weight, 80 pounds with weight loss of 30% of body weight; poor skin turgor; lanugo; amenorrhea of 6 months' duration; and admits to restricting intake to 350 calories daily. These assessment findings are most consistent with the medical diagnosis of: a. bulimia nervosa.
b. anorexia nervosa.
c. binge-eating disorder.
d. disturbed body image.
B
The assessment data are most consistent with the medical diagnosis of anorexia nervosa, a disorder in which intense fear of gaining weight leads to a body weight 15% below normal for height and amenorrhea. Disturbed body image is not a medical diagnosis.
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A patient with coronary artery disease is prescribed nitroglycerin ointment. When teaching the patient to safely administer this medication, the nurse should convey which of the following instructions?
A) "The backs of your hands and the tops of your feet are ideal sites for applying the ointment." B) "Make sure you squeeze the ointment on to a paper measuring scale before applying it." C) "Massage the ointment into your skin for 10 to 15 seconds after applying it." D) "Don't apply the ointment unless you're experiencing chest pain at the time."
A young client has a perforation of the tympanic membrane that occurred while cleaning the ear with a pointed object. The nurse would advise that
a. a hearing aid is usually necessary after the tympanic membrane heals. b. perforations often heal spontaneously with no complications. c. the client should remain in a quiet environment until healed. d. the client will most likely experience vertigo.
A nurse professor is educating nursing students on The American Nurses Association's recommendation to use assistive devices for safe patient handling. The nurse professor judges the teaching to be effective when one of the students state:
a. "Research indicated that patients were being injured by falls during transfers.". b. "Research indicated that back injuries in staff nurses were occurring even with good body mechanics.". c. "Research showed an increased number of lawsuits resulted from patient falls.". d. "Research uncovered reports from state boards of nursing showed increased back injuries.".
A nurse feels bullied at work. Which of the following actions should the nurse take first?
a. Ignore the bullying. b. Report the bullying. c. Take action against the bully themself. d. Take time off from work.